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23 micro second response times in multi-hop IP network for Tele-medicine requirements

How can we have 23 micro second response times in  multi-hop IP network for Tele-medicine requirements. Think of QoS needs  for live remote surgery. Will IP networks suffice for critical medical  NW ?

http://www.linkedin.com/groups/How-can-we-have-23-23013.S.72371398?view=&srchtype=discussedNews&gid=23013&item=72371398&type=member&trk=eml-anet_dig-b_pd-ttl-cn&ut=1OTQUzUpXXZAU1

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VIP Expert

23 micro second response times in multi-hop IP network for Tele-

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Did you truly mean 23 microseconds and not 23 milliseconds?